A nurse is preparing to administer insulin lispro to a client who has type 1 diabetes mellitus.
Which of the following actions should the nurse plan to take?
Inject insulin lispro 15 min before a meal.
Monitor the client for polyuria after the insulin lispro injection.
Check the expiration date after the insulin lispro specification.
Administer using a syringe with no washing.
The Correct Answer is A
Insulin lispro is a fast-acting insulin that starts to work about 15 minutes after injection, peaks in about 1 hour, and keeps working for 2 to 4 hours1.
Therefore, it should be injected 15 minutes before a meal2.
Choice B is incorrect because polyuria (frequent urination) is a symptom of high blood sugar levels, not a direct result of insulin lispro injection.
Choice C is incorrect because checking the expiration date should be done before administering any medication, not after.
Choice D is incorrect because insulin lispro should be administered using a clean syringe and proper hygiene practices should be followed to prevent infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Protamine sulfate is a medication that can be used to reverse the anticoagulant effects of heparin1.
It is a polycationic protein drug obtained from the sperm of fish and is used to reverse the anticoagulant effect of unfractionated heparin (UFH)2.
Choice B, Deferoxamine, is not the correct answer because it is a medication used to treat iron overload, not to reverse heparin’s effects.
Choice C, Sodium polystyrene sulfonate, is not the correct answer because it is a medication used to treat high levels of potassium in the blood, not to reverse heparin’s effects.
Choice D, Acetylcysteine, is not the correct answer because it is a medication used to treat acetaminophen overdose and to loosen thick mucus in individuals with cystic fibrosis or chronic obstructive pulmonary disease.
Correct Answer is D
Explanation
NPH insulin is an intermediate-acting insulin that typically starts to work within 1 to 2 hours after injection.
The nurse should observe for hypoglycemia caused by the onset of the medication around 3 hours after administration, which would be around 1000.
Choice A is not correct because it is too soon after administration for the onset of the medication.
Choice B is not correct because it is still too soon after administration for the onset of the medication.
Choice C is not correct because it is still too soon after administration for the onset of the medication.
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